Deposit

Booking form

Amount to pay: €

Club / Individual: Club Individual

Nome:
(If you are a club, name of the responsable)

Phone number: E-mail:

Diving:

Number of divers:
Number of dives per person :
Date of first dive :	Morning Afternoon
Date of last dive:	Morning Afternoon

Accommodation in hotel / appartment   No accommodation

Hotel Appartment

Number of persons:

Full board Half board Bed and breakfast Only bed

Date of arrival :

First service : Sleep Breakfast Lunch Dinner

Date of departure :

Last service : Sleep Breakfast Lunch Dinner

Remarks

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